APPARATUS AND METHOD FOR STORING TISSUE
An apparatus (300) for storing body tissue (306) cryogenically comprising a plurality of storage units (350), each storage unit (350) comprising a cavity (352) configured to receive a portion of body tissue (306), wherein at least one storage unit (350) is detachably connected to at least one other storage unit (350).
The invention relates to an apparatus and method for storing body tissue, particularly an apparatus and method for storing body tissue cryogenically.
BACKGROUND ARTUmbilical cord blood is well-known to contain haematopoietic stem cells (“HSCs”), and it is known to harvest cord blood from an umbilical cord shortly after birth and to store the cord blood (and HSCs therein)—typically cryogenically—for therapeutic use at a later stage. In recent years, umbilical cord tissue has also been identified as a rich source of stem cells. Mesenchymal stem cells (“MSCs”) are present in the cord tissue—in and on the umbilical cord vein, the umbilical cord arteries and in the Wharton's jelly, notably in the perivascular Wharton's jelly. MSCs have emerged as major candidates in the field of cell-based therapies, particularly in regenerative medicine, and it is desirable to store MSCs for later use by the donor, family member or other allogeneic recipient. Accordingly, improved devices and methods for processing and storing umbilical cords, to enable access to viable stem cells when required, have become highly desirable.
The therapeutic potential of umbilical cord-derived MSCs is discussed in Dalous et al, Pediatric Research (2012) 71, 482-490. Typically, MSCs are obtained from the umbilical cord by dissecting the cord into small pieces and enzymatically digesting these pieces, typically with collagenase alone or in combination with trypsin and hyaluronidase. The isolated stem cells are then stored for later use.
WO-A-2011/073388 describes a method of separating the umbilical vascular tissue from the Wharton's jelly, followed by the separation of dissociated (stem) cells from the jelly matrix and the independent separation of stem cells from the vascular tissue, and cryopreservation of each population of separated dissociated cells.
There is currently no standardised procedure for extracting stem cells from umbilical cord tissue. Therefore, it may be advantageous to store whole umbilical cord tissue so that the stem cells may be extracted at a later stage. The current approach to storing whole tissue in this way is to bathe, soak or immerse the tissue in a dimethyl sulfoxide (DMSO) solution (5-30% v/v, typically 10% v/v) containing human serum albumin (HSA) or Fetal Bovine Serum (FBS) at 4° C. for approximately 40 to 90 minutes, and then preserve the tissue cryogenically. An example of this technique is described in WO-A-2007/071048.
Currently, whole umbilical tissue from a particular source (i.e. a particular person) is stored either as “private” tissue or “community” tissue. Private tissue is stored for use solely by the person who was the source of the tissue (the donor) or by another person with the permission of the donor or the donor's guardian or family. Community tissue is stored for use by one or more third parties (who are unconnected to the donor); in other words, community tissue is effectively donated upon storage.
However, current apparatuses and methods for storing whole umbilical cord tissue are inflexible and lack robustness. There exists a need for an apparatus and method which allows stored tissue to be used as and when it is required for any one of a number of uses (e.g. private/community). The present invention solves this and other problems.
DISCLOSURE OF INVENTIONThe inventors have devised an improved apparatus and method for storing biological tissue containing stem cells, particularly umbilical cord tissue. The tissue is typically stored cryogenically. The apparatus and method of the present invention have the advantage that a portion of the stored tissue can be removed from storage (e.g. cryogenic storage) and used for a particular purpose (e.g. private/community use) whilst the remaining tissue remains in storage until it is required. This means that the stored tissue, which is highly valuable, can be stored and used flexibly and efficiently. Moreover, since methods for preparing tissue for cryogenic storage and extracting stem cells from biological tissue, in particular, are continually being improved, the fact that a particular portion of tissue containing stem cells can be stored cryogenically, for example, until it is required means that the best possible methods of preparation and extraction can be employed. This optimises the post-thaw yield of stem cells from the stored tissue.
In accordance with a first aspect of the present invention, there is provided an apparatus for storing body tissue comprising a plurality of storage units, each storage unit comprising a cavity configured to receive a portion of body tissue, wherein at least one storage unit is detachably connected to at least one other storage unit. The detachable connection between storage units which are each configured to receive tissue means that a chosen amount of tissue can be detached and removed from storage whilst the remaining tissue is kept in storage.
At least one storage unit may comprise a seal for sealing the cavity. For example, each storage unit may comprise a seal for sealing its cavity. Such seals are advantageous because they can ensure sterility within the storage unit.
At least one storage unit may be connected to at least one other storage unit via at least one of a weakened portion, a perforated portion, a frangible connection and/or a snap-fit connection.
At least one storage unit may comprise an indicator comprising information about the contents of its cavity. The seal may comprise the indicator. Such indicators are advantageous because they allow the contents of the storage unit to be identified without the need to open the storage unit and expose the contents to the surrounding environment.
The storage units are arranged in a strip (i.e. a one-dimensional array). Alternatively, the storage units may be arranged in a two-dimensional array. The storage units may be rearrangable and/or reconfigurable. This further increases the flexibility and robustness of the apparatus. For example, the storage units can be continually rearranged to make the units more accessible and to make optimal use of the available space. The cavities may extend substantially in the same direction.
At least one seal or each seal may comprise a pull tab. Alternatively or additionally, at least one seal or each seal may comprise a cork, bung, lid or cap. At least one seal or each seal may be attachable to the cavity by an interference fit or by a screw thread. This can improve the strength of the connection between the seal and the storage unit.
The apparatus is for storing body tissue cryogenically. The apparatus may further comprise a cryogenic freezer in thermal communication with the storage units and configured to cryogenically freeze the contents of the storage units.
In accordance with another aspect of the present invention, there is provided an apparatus for storing body tissue, comprising:
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- a storage unit comprising a cavity configured to receive a portion of body tissue; and
- a separator for dividing the cavity into a plurality of chambers.
The separator may be movable between an inactive position in which the separator does not divide the cavity into a plurality of chambers and an active position in which the separator divides the cavity into a plurality of chambers. The separator may comprise a wall or a slider, and may comprise a cutting edge. Therefore, the separator itself can be capable of dividing the tissue within the storage unit.
The separator may be configured to divide body tissue within the cavity into a plurality of pieces. The separator may be movable between a plurality of inactive positions whilst the separator is in its inactive configuration such that relative sizes of the plurality of chambers can be selected. This increases the flexibility of the apparatus.
The separator may comprise a sealing strip. The sealing strip may be configured to divide the cavity into a plurality of chambers via a press and seal mechanism.
The separator may form a detachable connection. Therefore, a portion of the storage unit and its contents can be detached for use whilst the remainder of the storage unit and its contents can remain in storage. The storage unit may comprise a plurality of separators.
The storage unit may comprise a seal for sealing the cavity. The storage unit may comprise an indicator comprising information about the contents of its cavity. The seal may comprise the indicator. Such indicators are advantageous because they allow the contents of the storage unit to be identified without the need to open the storage unit and expose the contents to the surrounding environment.
The apparatus may comprise a plurality of said storage units, wherein at least one storage unit may be detachably connected to at least one other storage unit. At least one storage unit may be connected to at least one other storage unit via at least one of a weakened portion, a perforated portion, a frangible connection and/or a snap-fit connection. The detachable connection between storage units which are each configured to receive tissue means that a chosen amount of tissue can be detached and removed from storage whilst the remaining tissue is kept in storage.
The storage units may be arranged in a strip (i.e. a one-dimensional array). Alternatively, the storage units may be arranged in a two-dimensional array. The storage units may rearrangable and/or reconfigurable. This further increases the flexibility and robustness of the apparatus. For example, the storage units can be continually rearranged to make the units more accessible and to make optimal use of the available space.
The apparatus may be for storing body tissue cryogenically. The apparatus may further comprise a cryogenic freezer in thermal communication with the storage units and configured to cryogenically freeze the contents of the storage units.
In accordance with another aspect of the present invention, there is provided a method for processing body tissue comprising the steps of:
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- providing a portion of body tissue;
- dividing the body tissue into a plurality of pieces; and
- storing the pieces cryogenically, wherein each piece is stored in a separate chamber or storage unit.
The method may further comprise infusing the body tissue with a cryoprotectant before dividing the body tissue into a plurality of pieces. The method may further comprise extracting blood from the body tissue before dividing the body tissue into a plurality of pieces. The method may further comprise removing the body tissue from cryogenic storage and thawing the body tissue.
The body tissue may be from a single donor.
The body tissue may be processed using an apparatus according to any aspect of the invention. The dividing may be carried out by the at least one storage unit.
In accordance with another aspect of the present invention, there is provided body tissue which has been processed using an apparatus according to any aspect of the invention or a method according to any aspect of the invention. The body tissue may be umbilical cord tissue. The body tissue may be from a single donor.
The present invention will now be described with reference to the accompanying drawings, in which:
The present invention relates to an apparatus and method for storing biological tissue containing stem cells, particularly umbilical cord tissue. The tissue is typically stored cryogenically.
The invention involves the cryogenic storage of biological tissue, or body tissue, containing stem cells in such a way that the tissue can be thawed and used flexibly and efficiently. Tissue containing stem cells, such as an umbilical cord or a part thereof, is of huge importance to both research and healthcare, and it is therefore advantageous to be able to store such tissue in a way that allows a selected portion of the tissue to be extracted, thawed and used as desired, whilst the remaining tissue is maintained in cryogenic storage for future extraction and use. Moreover, since methods for preparing tissue for cryogenic storage and extracting stem cells from biological tissue are continually being improved, the fact that a particular portion of tissue containing stem cells can be stored cryogenically until it is required means that the best possible methods of preparation and extraction can be employed. This optimises the post-thaw yield of stem cells from the stored tissue.
Whilst the invention relates to a method and apparatus for storing biological tissue containing stem cells, typically cryogenically, other optional processes which are typically carried before or after cryogenic storage are described in details below. It will be understood by the skilled person that any of the processes described herein can be combined with any of the other processed described herein. However, in one example, the following processes are carried out in the following order:
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- Extraction of blood from the tissue (e.g. extraction of cord blood if the tissue is an umbilical cord or a portion of an umbilical cord);
- Treatment and/or infusion of the tissue with a cryoprotectant;
- Incubation of the tissue (typically in a cryoprotectant);
- Cryogenic storage;
- Thawing of the tissue and extraction and use of stem cells.
Whilst an exemplary order has been described above, the skilled person will understand that any suitable combination of the above steps in any suitable order could equally be used.
Each of the processes described above will now be described in further detail below, with particular emphasis on an apparatus and method for storing tissue, typically cryogenically, according to the present invention.
Cryoprotectants
Before being stored cryogenically, the tissue is typically treated, contacted or infused with a cryoprotectant and then typically incubated in the cryoprotectant. A cryoprotectant is a substance that is provided to tissue before freezing and yields a higher post-thaw survival of viable cells than can be obtained in its absence. Cryoprotectants are well-known in the art and typically protect biological tissue from freezing damage caused by ice formation. Various cryoprotectants may be used according to the invention. Typical cryoprotectants are described below.
Some cryoprotectants permeate the cell membrane and protect the cell from damage during freezing. These permeating cryoprotectants include: glycols such as ethylene glycol, propylene glycol and glycerol; butanediol e.g. 2,3-butanediol; and Dimethyl sulfoxide (DMSO; [CH3]2SO). DMSO is a conventional cryoprotectant that is often used to bathe umbilical cord tissue prior to storage in liquid nitrogen. Cryoprotectants typically comprise 5% to 30% (v/v) DMSO, for example 10% (v/v) or 20% DMSO. In one embodiment, the cryoprotectant comprises 10% (v/v) DMSO.
Cryoprotectants are also known that do not permeate the cell membrane, including: Dextran, e.g. Dextran 40; disaccharides such as sucrose or trehalose; percoll; polyethylene glycol (PEG); and polyvinypyrrolidone (PVP).
Combinations of cryoprotectants may be used. For example, the concentration of DMSO required can be reduced if be combined with disaccharides such as trehalose or sucrose (Rodrigues et al, Cryobiology 56(2) April 2008: p144-151). The disaccharide is typically present at 0.1M with 10% DMSO. A mixture of DMSO and Dextran is also known as an effective cryoprotectant, as is a mixture of DMSO and glycerol, and these mixtures can be used according to the invention.
The cryoprotectant may comprise additional components such as plasma, serum or a serum component such as fetal bovine serum (FBS), Bovine Serum Albumin (BSA), or Human Serum Albumin (HSA). The serum or plasma is typically human and, when the tissue is umbilical cord tissue, may be obtained from the mother. In one embodiment, the cryoprotectant comprises autologous serum (from the mother) containing 10% (v/v) DMSO.
In one embodiment, the cryoprotectant is actively infused into body tissue. Active infusion applies a force to the cryoprotectant, to infuse the cryoprotectant actively into the tissue and provide an increased rate of uptake into the tissue compared to the uptake that would occur in the absence of that force. This is in contrast to the passive application of cryoprotectant, which involves soaking, bathing or submerging the tissue in cryoprotectant and which relies on the cryoprotectant simply soaking into the tissue. Active infusion can, for example, refer to the use of a pressure-exerting means to infuse the tissue with a cryoprotectant. For example, the cryoprotectant may be injected or pumped directly into the tissue. Active infusion can be advantageous over passive infusion because cryoprotectants are typically toxic and active infusion reduces the time required for the tissue to be in contact with the toxic cryoprotectant. The active infusion of the tissue with a cryoprotectant thereby reduces damage to and degeneration of the tissue as a result of incubation with the cryoprotectant, thereby improving the quality of the preserved tissue. In alternative embodiments, however, passive infusion can be used.
One way in which active infusion can be achieved is by injecting cryoprotectant into the tissue. When the cryoprotectant is injected, this may be achieved using a syringe; the syringe may comprise a needle (e.g. a hypodermic needle) or may be a needle-less syringe, typically powered by compressed air or gas.
The treatment or infusion (active or passive) of the tissue with a cryoprotectant is performed at a temperature less than 37° C., i.e. less than body temperature. Typically, the infusion step occurs at between 1° C. and 10° C., more typically between 2° C. and 5° C., for example at approximately 4° C.
Isolated Body Tissue
Any body tissue can be prepared for cryogenic storage according to the invention. The tissue is isolated; in other words, the tissue is no longer part of the human or animal body (the tissue is ex vivo). The tissue is isolated from the body before the method of the invention takes place. The tissue is typically human body tissue. The tissue is typically soft tissue. The body tissue typically contains adult stem cells. The stem cells are typically mesenchymal stem cells. Alternatively, the stem cells may be haematopoietic stem cells or neural stem cells.
The tissue is typically processed within about 24 hours from the time is it removed from the body, more typically within 12 hours. In one embodiment, the tissue is processed and stored without delay, for example within one hour of being removed from the body, or within 30 minutes of being removed from the body.
Suitable body tissues include the umbilical cord, placenta and the amniotic membrane.
Preparation of Umbilical Cord Tissue for Cryogenic Storage
An exemplary tissue that can be prepared for cryogenic storage according to the invention is umbilical cord tissue. Typically, the umbilical cord tissue is postpartum tissue that has been removed (e.g. cut) from the infant.
Long-term storage of the umbilical cord tissue is desirable because mesenchymal stem cells have been identified throughout the umbilical cord, including in the sub-endothelial layer of the umbilical vein and arteries, and in the Wharton's jelly (in particular the perivascular Wharton's jelly). Umbilical cord MSCs are obtained from term umbilical cord after parturition, and are not embryonic stem cells. Umbilical cord MSCs are not capable of developing into an embryo. Obtaining and using umbilical cord blood MSCs does not involve the destruction of human embryos, and obtaining umbilical cord MSCs avoids the controversy and ethical considerations surrounding the provision and use of human embryonic stem (ES) cells.
The umbilical cord tissue may comprise at least a portion of an umbilical cord, for example at least a portion of an umbilical cord vein, a portion of an umbilical cord artery or Wharton's jelly. Typically, the body tissue is an intact piece of umbilical cord, i.e. that has not been divided into its constituent parts, by mechanical or enzymatic means. Intact umbilical cord tissue comprises the umbilical cord vein, two umbilical cord arteries and the Wharton's jelly, surrounded by amniotic epithelium. In one embodiment, intact umbilical cord tissue has not been dissected, cut into pieces or minced.
The entire umbilical cord may be prepared for cryogenic storage. Alternatively, a section of the intact cord tissue may be prepared for storage. A section may be obtained by make a sectional cut along the lines A-A and B-B shown in
Whilst an entire umbilical cord is depicted in
The storage of intact umbilical cord tissue allows for all of the potentially useful cells, in particular stem cells, to be cryogenically stored without losing yield by extraction prior to freezing. Methods for isolating stem cells from tissues are currently subject to significant variation in yield and so it is beneficial to store the umbilical cord as whole tissue. This cryogenically-stored tissue, or a portion of the cryogenically-stored tissue, can be accessed when needed and the stem cells isolated at that point in time, which may improve the yield and/or functionality of the cells that are obtained.
As discussed above, the cryoprotectant is actively or passively infused into the umbilical cord tissue prior to storage. For example, the cryoprotectant may typically be actively infused directly into the lumen of the umbilical cord vein and/or the lumen of one or both umbilical cord arteries. Alternatively or additionally, the cryoprotectant may be actively infused across the amniotic epithelium that forms the outer layer of the umbilical cord, so that the cryoprotectant is infused directly into the umbilical cord tissue (i.e. directly into the Wharton's jelly and/or vasculature).
In one embodiment, an intact umbilical cord is placed into a cryoprotectant bath comprising 10% (v/v) DMSO, at 4° C. for passive infusion with the cryoprotectant. Alternatively or additionally, cryoprotectant comprising 10% (v/v) DMSO is actively infused into the umbilical cord vein or artery lumen. The cryoprotectant may optionally comprise autologous serum or plasma (from the mother).
The tissue (e.g. cord) which has been treated with cryoprotectant is then incubated. If passive infusion alone is used, the cord is typically incubated in the cryoprotectant for 40 minutes at 4° C. before being cryogenically frozen. If active infusion is used in combination with passive infusion, the cord is typically incubated in the cryoprotectant for less than 40 minutes, for example for 10 to 20 minutes, at 4° C., before being cryogenically frozen.
Typically, actively infusing a portion of body tissue with cryoprotectant, as opposed to simply submerging this tissue in cryoprotectant, means that interior portions, concealed portions, or difficult to access portions of the body tissue can be infused with cryoprotectant effectively and efficiently resulting in optimal post-thaw stem cell extraction. Moreover, the active infusion of portions of the body tissue, such as an umbilical vein, which are concealed, hidden or difficult to access (e.g. the interior of the umbilical cord vein) means that incubation times can be reduced significantly when compared with simply submerging or “soaking” the whole tissue umbilical cord vein, or other body tissue, in a cryoprotectant.
Once the cord tissue 10 or other tissue has been infused with cryoprotectant, the entire cord tissue 10 is placed in a suitable receptacle (e.g. an incubator, typically a polypropylene container that is suitable for cryogenic storage) and partially or wholly submerged and soaked in another quantity of cryoprotectant, which can be the same cryoprotectant used for passive and/or active infusion or a different cryoprotectant. The submerged cord tissue 10 is then incubated. In an exemplary embodiment, the cryoprotectant used for incubation is DMSO, for example 5% DMSO or 10% DMSO, in which case the tissue is incubated at 1° C.-10° C., typically 2° C.-5° C., and more typically 4° C. However, the skilled person will understand that other cryoprotectants, such as Dextran40 or glycerol, could equally be used. A function of the cryoprotectant is to prevent the formation of ice crystals when the whole tissue is stored cryogenically (i.e. when it is frozen), as ice crystals can damage the tissue and reduce the yield of MSCs which can be obtained from the tissue after the tissue has been thawed.
The skilled person will understand that preferred incubation times may vary. If passive infusion alone is used, the incubation time may be approximately 40 minutes. If active infusion is used in combination with passive infusion, the incubation time can typically be less than approximately 40 minutes, preferably less than approximately 30 minutes, more preferably less than approximately 20 minutes, and more preferably between approximately 10 minutes and approximately 20 minutes.
Once the tissue has been incubated, it is ready for cryogenic storage. Incubation followed by cryogenic storage permits umbilical cord tissue, or other body tissue, to be preserved as whole tissue until it is needed, for example when stem cells present in the tissue need to be extracted. Since the available methods for extracting stem cells from whole tissue are continually being improved, effective storage means that the best possible method for extracting the stem cells can be employed at the time that the tissue and stem cells therein are needed.
Device for Collecting Umbilical Cord Blood Prior to Cryoprotection
When the body tissue is umbilical cord tissue, some or all of the umbilical cord blood may optionally be removed from the cord before cryoprotecting and subsequently storing the tissue cryogenically. For example, the cord blood may first be harvested for (separate) storage, and the cord which is substantially free of cord blood (but may of course comprise a residual amount of cord blood cells) then prepared for cryopreservation according to the invention. In this way, the cord blood and cord tissue can be harvested and stored.
The collection of umbilical cord blood is known in the art and a typical device that can be used to collect the cord blood is described in WO-A-2014/057353 (Virgin Health Bank QSTP-LLC, incorporated herein by reference). Exemplary devices of this kind are shown in
Once the blood has been collected using a cord blood collection device, the cord tissue can be infused with a cryoprotectant and then incubated, as described above. Optionally, the umbilical cord is removed from the cord blood collection device before it is infused with cryoprotectant. Once the cord tissue has been infused with the cryoprotectant and incubated, it can be stored cryogenically as described below.
In one embodiment, the umbilical cord remains in the cord blood collection device while the infusion step is carried out. In this way, the umbilical cord can be placed in the device and the cord blood harvested, and then the umbilical cord can be infused while connected to the device. This provides a simple method for harvesting both umbilical cord tissue and umbilical cord blood.
As explained above, some or all of the umbilical cord blood may optionally be removed from the cord before performing the active infusion of cryoprotectant according to the present invention.
The housing 102, 202 shown in the figures has a substantially conical portion 108, 208 and generally takes the form of a funnel i.e. having a wide portion at a top end 110, 210 of the housing 102, 202 and tapering gradually inwards to a narrow bottom end 112, 212 of the housing 102, 202. The skilled person will understand that a housing having any other suitable shape (e.g. frustoconical, bowl-shaped, cylindrical) could equally be used. The housing 102, 202 comprises a first output 114, 214, which takes the form of a gap or hole located at the narrow end of the housing 102, 202. Alternatively, the first output 114, 214 can be a removable cover, a permeable membrane, a thinning, or any other output through which a blood source and/or waste from a blood source could pass. In some embodiments, the housing is movable between a deployed configuration and a collapsed configuration, for example, in a concertinaing manner.
A first collection means 116, 216 is in communication with the housing 102, 202 via the first output 114, 214.
The device also comprises a pressure-exerting means 122, 212, at least a portion of which is contained within the housing 102, 202. The pressure-exerting means 122, 212 shown in
The fluid used to inflate the inflatable 124, 224 may be a gas, such as air, in which case the inflatable can be an airbag and the pump can be an air pump. Alternatively, a liquid, such as water, can be used to inflate the inflatable 124, 224.
As described above, the housing 102, 202 comprises a first output 114, 214. In the exemplary embodiments shown in the figures, the first output is configured to allow passage of waste from the blood source 104, 204 therethrough. The device 100, 200 also comprises a second output 136, 236, which is configured to allow passage of at least a portion of the blood source 104, 204 therethrough. For example, if the blood source is an umbilical cord 106, 206 and/or placenta 108, 208, the second output 136, 236 is configured to allow passage of the umbilical cord 106, 206 therethrough, meaning that umbilical cord blood passes along or through the umbilical cord, through the second output 136, 236. A second collection means 138, 238 is provided to collect the blood extracted from the blood source. The second collection means 138, 238 is typically a bag or flask, although any other suitable collection means can equally be used.
In the configuration shown in
In the configuration shown in
In both configurations shown in the figures, the second output is smooth and rounded without any sharp edges so as not to risk tearing the umbilical cord and spilling umbilical cord blood. The second output is a gap or hole on a wall of the housing through which an umbilical cord can pass. Alternatively, the second output is a thinning or a removable cover.
An exemplary method of using the device 100, 200 to harvest cord blood will be described with reference to the figures. The closure 118, 218 is moved to an open position or removed from the housing 102, 202, and a blood source 104, 204, such as an umbilical cord 106, 206 and/or a placenta 108, 208 is placed into the housing 102, 202. The umbilical cord 106, 206 is passed through the second output 136, 236 so that an end of the umbilical cord extends outside the housing. In some embodiments (not shown), a cord clamp is attached to the umbilical cord, in which case the first and/or second output is sufficiently large to allow passage of a cord clamp therethrough. If the device shown in
Once the blood source is correctly arranged, the closure 118, 218 is moved to its closed position and the latch or clip 120, 220, if provided, is secured to retain the closure on the housing 102, 202. The first collection means 116, 216 is connected to (e.g. screwed onto or pushed onto) the housing 102, 202 at the first output 114, 214 and the second collection means 138, 238 is arranged near the second output 136, 236. For example, the second collection means 138, 238 may be connected to (e.g. screwed onto or pushed onto) the housing 102, 202 at the second output 136, 236. The umbilical cord 106, 206 may be inserted into the second collection means 138, 238 so as to minimise spillage of umbilical cord blood.
Once the device has been assembled, the inflatable 124, 224 is inflated, for example using the pump 130, 230. As the inflatable 124, 224 expands, it exerts pressure on the blood source within the housing, thereby forcing blood out of the blood source. In the device 100 shown in
In the embodiment shown in
In the embodiment shown in
It is advantageous for the device 100, 200 of the present invention to be mountable on a piece of medical equipment e.g. hospital equipment or furniture. To facilitate mounting of the device, a retaining means 140, 240 in the form of a hook or hanger can optionally be provided on the device.
It is also advantageous for the device to be disposable, so that it can be supplied to medical institutions and/or practitioners as a single-use, easy to use kit e.g. single-use, non-reusable.
Apparatus and Method for Cryogenic Storage of Tissue
As discussed above, it is advantageous to provide an apparatus and method for cryogenically storing whole body tissue, such as umbilical cord tissue, so that tissue from a particular donor can be divided and assigned to different purposes. For example, when whole umbilical cord tissue is extracted from a single donor (i.e. a single person or family), it may be advantageous to assign a portion of the tissue to “community” use and another portion to “private” use.
Private tissue is stored for use solely by the person who was the source of the tissue (the donor) or by another person with the permission of the donor or the donor's guardian or family. Community tissue is stored for use by one or more third parties (who are unconnected to the donor); in other words, community tissue is effectively donated upon storage. In this respect, and throughout this application, “community” and “private” have these definitions.
For the reasons described above, an embodiment of the present invention relates to an apparatus and method for storing biological tissue, typically cryogenically. In the present invention, the flexibility required for tissue from a particular donor to be divided and assigned to different purposes is typically achieved by providing a storage means (e.g. a storage unit or a plurality of storage units) which can be divided (e.g. by detachment) into a number of separate portions, each containing a portion of the stored tissue. This aspect of the invention will now be described in further detail.
Cryogenic storage is well known in the art and involves storing the tissue at very low temperatures, typically using a cryogenic substance such as liquid nitrogen, liquid air, liquid natural gas, liquid carbon dioxide or any other cryogen. Cryogenic storage is typically at a temperature lower than −150° C., more typically lower than −196° C. (which is the boiling point of liquid nitrogen). Typically, the body tissue and cryoprotectant are placed in a storage unit made of a non-brittle sterilisable polymer such as polypropylene. This storage unit is then frozen in a cryogen such as liquid nitrogen, where it is retained until needed. The cryogen is provided in a cryogenic element, such as a cryogenic freezer.
Cryogenic freezing allows for long-term storage of body tissue containing stem cells. This long-term storage is typically for at least one year, more typically at least five years and yet more typically at least ten years. Storage for at least 15 years or at least 20 years, for example at least 25 years or at least 50 years is also within the scope of the phrase “long-term”.
The body tissue is typically prepared for cryogenic storage, typically long term cryogenic storage, by applying a cryoprotectant to the tissue, as described above. In one embodiment of the present invention, the container in which the body tissue is incubated (by bathing or submerging in cryoprotectant) for less than 40 minutes and typically 10 to 20 minutes, is the storage unit in which the tissue is cryogenically frozen. The tissue typically contains stem cells, which are usefully stored long-term so that viable stem cells can be accessed when needed, for example when needed for regenerative medicine, to treat the donor or family member (private use) or other allogeneic person (community use). Moreover, if the body tissue is contained in a storage unit having a seal displaying information about the tissue therein, appropriate tissue can be identified for use with a certain patient or for a certain purpose (e.g. private/community use).
The storage units 350 are detachably connected to one another via a detachable connection 354. The detachable connection 354 can be a reattachable detachable connection or a single-use detachable connection. In the exemplary embodiment shown in
In an exemplary embodiment, the storage units 350 are made from polypropylene. Alternatively, the storage units 350 could be made from polyethylene or any other material which is suitable for cryogenic storage. In some embodiments, the storage unit 350 is the same container in which the body tissue 306 was infused with cryoprotectant (actively and/or passively) and/or incubated, as described above.
Whilst the exemplary embodiment shown in
In alternative embodiments, the detachable connection 354 between storage units 350 shown in
In the embodiment shown in
As shown in
The capability of the apparatus 350 of the invention to store pieces of umbilical cord from a particular source flexibly in a plurality of easily-accessible and connected storage containers means that different samples from a single source may be assigned to different purposes, and the proportion of tissue assigned to each purpose can be flexibly decided. For example, a given proportion of tissue from a particular sample may be assigned to community use, whilst the remainder may be assigned to private use. The whole tissue can then be stored cryogenically until it is required for its purpose.
On top of this, the fact that the storage units 350 are detachable from one another means that a single storage unit 350 or a plurality of storage units 350 can be removed from cryogenic storage whilst the remaining storage units 350 remain frozen. Therefore, for example, storage units 350 containing tissue required for a particular purpose (e.g. private use) can be removed from cryogenic storage whilst storage units 350 containing tissue from the same source but required for a different purpose (e.g. community use) can remain in cryogenic storage. In other words, a chosen amount of frozen tissue can be removed from cryogenic storage, thawed, and used as required. In embodiments where the storage units are rearrangeable and reattachable to one another, the storage units 350 which remain in cryogenic storage can be rearranged and/or reattached so as to make optimum use of the space available and organise the remaining samples for easy access.
Referring again to
In alternative embodiments, the seal 358 may comprise a cork, bung, lid or cap, and may seal the cavity by means of an interference fit. Alternatively, the seal 358 may be attached to the storage unit by means of a screw threaded attachment.
In a preferred embodiment, the seal 358 displays information 362 about the contents of the cavity 352 of the storage unit 350. For example, if the storage unit 350 contains an umbilical cord sample or portion intended for community use, the seal 358 may display this. Similarly, if the storage unit 350 contains an umbilical cord sample or portion intended for private use, the seal 358 may display this. In this way, umbilical cord samples or portions may be identified as being for a particular purpose without a user needing to remove the seal 358 from the storage unit 350. Additionally or alternatively, the seal 358 may display other information about the tissue 306 in the storage unit 350 e.g. information about the source, date of extraction of tissue, date of tissue storage, etc. In a preferred embodiment, the information 362 displayed on the seal 358 is visible whilst the storage unit 350 is in cryogenic storage such that the contents of the storage unit 350 can be identified without requiring the storage unit 350 being removed from cryogenic storage.
As discussed above, flexibility in storing body tissue containing stem cells for different purposes (e.g. community or private banking) is highly desirable.
The flexibility of the storage unit 450 shown in
Another embodiment of a storage unit 550 for use with the apparatuses shown in
In a further alternative embodiment (not shown), a plurality of strips 564 may be provided along the longitudinal axis of the storage unit 550 such that the relative sizes of the chambers 566 can be selected flexibly.
It is also advantageous for the sealing strip 564 to form a detachable connection. Thus, once the sealing strip 564 has been moved to its active position (
A further alternative embodiment of a storage unit 650 for use with the apparatuses shown in
In an embodiment (not shown) in which multiple pieces of body tissue are contained in the chamber 652 (similarly to the example shown in
However, as shown in
In a further alternative embodiment (not shown), a plurality of sliders 664 may be provided along the longitudinal axis of the storage unit 650 such that the relative sizes of the chambers 666 can be selected flexibly.
It is also advantageous for the slider 664 to form a detachable connection. Thus, once the slider 664 has been moved to its active position (
The storage units shown in
In alternative embodiments, the seal 458, 558, 658 may comprise a cork, bung, lid or cap, and may seal the cavity by means of an interference fit. Alternatively, the seal 458, 558, 658 may be attached to the storage unit by means of a screw threaded attachment.
In a preferred embodiment, the seal 458, 558. 658 displays information 462, 562. 662 about the contents of the cavity 452, 552. 652 of the storage unit 450, 550. 650. For example, if the storage unit 450, 550. 650 contains an umbilical cord sample or portion intended for community use, the seal 458, 558. 658 may display this. Similarly, if the storage unit 450, 550. 650 contains an umbilical cord sample or portion intended for private use, the seal 458, 558, 658 may display this. In this way, umbilical cord samples or portions may be identified as being for a particular purpose without a user needing to remove the seal 458, 558. 658 from the storage unit 450, 550. 650. Additionally or alternatively, the seal 458, 558. 658 may display other information about the tissue 406, 506. 606 in the storage unit 450, 550. 650 e.g. information about the source, date of extraction of tissue, date of tissue storage, etc. In a preferred embodiment, the information 462, 562. 662 displayed on the seal 458, 558. 658 is visible whilst the storage unit 450, 550. 650 is in cryogenic storage such that the contents of the storage unit 450, 550. 650 can be identified without requiring the storage unit 450, 550. 650 being removed from cryogenic storage.
Each of the apparatuses described above with reference to
Thawing Cryogenically Stored Cells
Methods of thawing cryogenically stored tissue to obtain viable cells, at the time when the tissue and cells are needed, are well-known in the art. Briefly, the tissue is typically thawed in a water bath at between 20 to 40° C., for example 37° C. Once thawed, the tissue is typically transferred to a different container and washed to dilute or remove the cryoprotectant. The washing may be performed using cool (e.g., refrigerated, such as 4° C.) liquid, such as water or buffered saline, e.g., PBS, by immersing the tissue in the cool liquid. Vigorous washing of the tissue is often avoided, so that shock or damage to the cells is minimized The immersed tissue can be retained in a refrigerator for another period to permit further dilution and replacement of the cryoprotectant by water, and then still further diluted by addition of further cooled liquid.
The resulting restored tissue can then be used to recover viable cells, such as stem cells, resident within the tissue, optionally using the known techniques for recovering viable cells from fresh cord tissue.
It should be understood that any of the devices, methods and apparatuses described above can be combined with any of the other devices, methods and apparatuses described above.
The present invention has been described above in exemplary form with reference to the accompanying drawings which represent a single embodiment of the invention. It will be understood that many different embodiments of the invention exist, and that these embodiments all fall within the scope of the invention as defined by the following claims.
Claims
1. An apparatus for storing body tissue comprising a plurality of storage units, each storage unit comprising a cavity configured to receive a portion of body tissue, wherein at least one storage unit is detachably connected to at least one other storage unit.
2. An apparatus according to claim 1, wherein at least one storage unit comprises a seal for sealing the cavity.
3. An apparatus according to claim 1 or claim 2, wherein each storage unit comprises a seal for sealing its cavity.
4-15. (canceled)
16. An apparatus for storing body tissue, comprising:
- a storage unit comprising a cavity configured to receive a portion of body tissue; and
- a separator for dividing the cavity into a plurality of chambers.
17. An apparatus according to claim 16, wherein the separator is movable between an inactive position in which the separator does not divide the cavity into a plurality of chambers ad an active position in which the separator divides the cavity into a plurality of chambers.
18. An apparatus according to claim 16 or claim 17, wherein the separator comprises a wall.
19. An apparatus according to claim 16 or claim 17, wherein the separator comprises a slider.
20-22. (canceled)
23. An apparatus according to claim 16, wherein the separator comprises a sealing strip.
24. An apparatus according to claim 23, wherein the sealing strip is configured to divide the cavity into a plurality of chambers via a press and seal mechanism.
25-36. (canceled)
37. A method for processing body tissue comprising the steps of:
- providing a portion of body tissue;
- dividing the body tissue into a plurality of pieces; and
- storing the pieces cryogenically, wherein each piece is stored in a separate chamber of storage unit.
38. A method according to claim 37, further comprising infusing the body tissue with a cryoprotectant before dividing the body tissue into a plurality of pieces.
39. A method according to claim 37 or claim 38, further comprising extracting blood from the body tissue before dividing the body tissue into a plurality of pieces.
40-51. (canceled)
Type: Application
Filed: Nov 20, 2015
Publication Date: Sep 14, 2017
Inventors: Chris GOODMAN (Doha), Kourosh SAEB-PARSY (Cambridge)
Application Number: 15/528,504